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    Home > Active Ingredient News > Drugs Articles > High-level set the tone of the normalization of drug collection and institutionalization! 2021 will be a real tender year

    High-level set the tone of the normalization of drug collection and institutionalization! 2021 will be a real tender year

    • Last Update: 2021-01-26
    • Source: Internet
    • Author: User
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    On January 15th, three things were worth playing with in one day: around 5 p.m., rumors surfaced this week that four batches of the state-owned plan had finally surfaced.
    the State Council's executive meeting was broadcast at 7 p.m. on the same day, which called for the institutionalization of the normalization of drug collection.
    the gold section of the "focus interview" broadcast the "crown bracket 'after the group purchase' special report."
    Push forward two more days, the content of the speech at the National Health Insurance Work Conference, the meeting asked all regions to focus on the national procurement outside, the cost of the top 500 drugs to carry out collection, explore non-over-evaluation drugs, biological medicine collection, explore alliance procurement, layering, classification, batch collection of high-value consumables.
    to improve the provincial platform sunshine hanging network procurement system, standardize the hanging network, withdrawal of the network rules, and gradually realize the whole network procurement to grasp the concrete implementation, including the balance of medical insurance funds retained, return and so on.
    "Combined Fist" hit the 2021 episode to carry out the key year to carry out a dazzling series of "combined fists", can not help but sigh, in early 2020, the author's relevant speculation finally became a reality: 2021, is not only the key year of the real drug collection landing, but also since 2015, even since 2011 the real collection of the Big Year! In November 2019, a key policy that will determine drug collection for at least the next three years finally came to an end, namely, "Several Policy Measures on Deepening the Reform of the Medical and Health System with the Centralized Procurement and Use of Drugs as a Breakthrough" issued by the Leading Group of the State Council for Deepening the Reform of the Medical and Health System (National Medical Reform Issue No. 3, referred to as "Measures").
    "Measures" requirements: 2020-2022, all regions should seize the pilot to reduce drug prices and take consumption of materials to increase the window period, annual price adjustment assessment, to achieve the start-up conditions to adjust prices in a sound and orderly manner, increase the dynamic adjustment of medical services prices, due to price increases in principle into the scope of medical insurance payments.
    the author saw the relevant content of the first reaction is that these three years will be the key three years of centralized procurement of drugs.
    understanding at the time was that local belt procurement in 2019 had not yet taken shape, 2020 was still in the early stages of exploration, 2022 was the year of the end, and only 2021 was the main year when the national drug collection began to fall.
    facts have proved to be basically reliable so far.
    "incremental" to the "stock" reform of the original interests of the campaign to start to see the mountain is the mountain, see the water is the water.
    drug reform and then look at the "three medical linkage", the implementation of the effect, only through the effect achieved by the goal of medical reform to test and judge.
    , a well-known industry expert, has written that health care reform has near-term goals and long-term goals.
    The near-term goal is to solve the problem of the people's "expensive and difficult to see a doctor", effectively prevent the risk of poverty due to illness or return to poverty due to illness, safeguard the basic medical needs of the people, and improve the people's health and quality of life.
    background, the three-doctor linkage under the new situation is adjusting from incremental reform to stock, which means that this is bound to be an important battle to break the original pattern of interests.
    2021, just in time for the opening year of the 14th Five-Year Plan, through the normalization of drug collection to open a breakthrough, not only to accelerate pharmaceutical companies to international standards, to achieve import substitution, at the same time will further improve the ecology of the pharmaceutical industry, reduce enterprises in sales, circulation, public relations and other aspects of expenditure.
    Through drug collection, there is no doubt that the existing pattern of most pharmaceutical, consumables production enterprises, commercial companies, some hospitals will be optimized reorganization, has been adjusted in place of the medical insurance catalog adjustment is so, 2021 water out of the national base drug catalog adjustment is so, further optimize the drug review and approval system is so, accelerate the promotion of generic drug quality and efficacy consistent evaluation work is so, the establishment of a national pharmaceutical public procurement market and multi-party procurement pattern is also the same.
    collection of normal provincial belt procurement speed to speed up the reading of the situation, and then "landing" to the drug collection.
    2021, drug collection will still be inseparable from 500 and 50.
    500 is the "upper limit" of the country's total drug procurement control, then 50 is the "bottom line" for local procurement throughout the year.
    , in order of purchase amount, covers about 500 of the top 80% of medicines (quantities determined on a case-by-case basis) and 250 by 2021 and fully covered by 2022.
    not carried out by the State, it is organized by the provinces.
    in the category coverage, chemical drugs, biological agents, Chinese medicine should be included in the collection.
    includes varieties that cover the first 80% of the purchase amount.
    due to the slow pace of local promotion in 2020, the speed of belt procurement will be significantly accelerated in 2021, in the sun hanging network, price linkage on the basis of accelerating the implementation of provincial (inter) belt procurement.
    this point was further reflected in the report of the 15 January press release on the conference, which called for the institutionalization of the normalization of drug collection.
    , it is emphasized that "the basic protection, focusing on the basic medical insurance drug catalog of large quantities, high procurement amount of drugs into the scope of collection, and gradually cover clinically necessary, reliable quality of various types of drugs and consumables."
    study makes special arrangements for the procurement of "orphan drugs" for the treatment of rare diseases.
    is the normalization of drug collection? National belt procurement in two batches a year has formed the norm, local belt procurement in addition to Jiangxi, Fujian, Guangdong, Shandong, Jiangsu, Guangxi, Hubei and other provinces, most provinces are still slow, has not yet formed a normal.
    what is the institutionalization of drug collection? In late July 2020, the General Office of the State Council issued the Notice of the General Office of the State Council on the Issue of Key Tasks for Deepening the Reform of the Medical and Health System in the Second Half of 2020, which explicitly called for "guidance to local authorities in the full implementation of the policies on the procurement, distribution and use of selected medicines and high-value medical supplies."
    to formulate policy documents to reform and improve drug procurement mechanisms."
    for a variety of reasons, the industry called the "new No. 7" policy has not been introduced.
    But a month later, the "National Health Insurance Administration on the establishment of pharmaceutical prices and credit evaluation system guidance " (medical insurance issued (2020) No. 34) but meet in advance, the measures of this document, equivalent to a series of early and drug collection and collection of new regulations supporting a series of basic security work, for the drug collection of new regulations "launch" to create a more favorable "environment."
    2021 provincial belt procurement level, from the program point of view, basically the mainstream version can be divided into two, a version is based on the national version, such as Fujian, Shanxi and other provinces.
    another commendable version is the Jiangxi version, which reinforces the evaluation of quality points.
    this basis, the provinces will fully understand the spirit of national harvest, price-for-volume, combined with local actual conditions, the program for change, optimization.
    also in the selection of varieties, in less and more, as far as possible to focus on some common and fully competitive varieties, to ensure that the pace of harvesting is fast and steady, and achieve results.
    It is worth mentioning that, in addition to actively participating in inter-provincial alliances, such as Jiangsu, Hubei and other provinces, but also combined with their own drug characteristics, formed their own new way of procurement, this unique province "local and inter-provincial" with volume procurement system, is expected to become more and more provinces to follow the object of promotion.
    No matter how accelerated and changed the local volume procurement, the introduction of guidance on centralized procurement of national drugs is the key policy to determine the direction of this year's tender, can be called the 2021 drug collection policy of the "Dinghai Shen needle."
    the introduction of new regulations, in 2021, all over the Chinese medicine, unestimished generic drugs, biosimilars, insulin, as well as the real king-fried varieties - the national base drug products with the volume of procurement will be running wild.
    2021, drug collection clouds, is wrapped in lightning, step by step approaching the sweeping!
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